JUSTIN LEBOEUF (NPI# 1558969360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558969360 |
| Entity Type | Individual |
| Full Name | JUSTIN LEBOEUF |
| Credential | BCBA |
| Practice Address |
1266 Furnace Brook Pkwy Ste 410 Quincy MA 02169-4778 |
| Mailing Address |
21 Greenleaf St Apt 1 Malden MA 02148-2514 |
| Practice Telephone | 8669264345 |
| Mailing Telephone | 9788884059 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 3248-MH-B1 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1266 FURNACE BROOK PKWY STE 410 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689160319 | Vanessa Monti | Behavioral Analyst | 1266 Furnace Brook Pkwy Ste 410, Quincy, MA 02169-4778 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689160319 | Vanessa Monti | Behavioral Analyst | 1266 Furnace Brook Pkwy Ste 410, Quincy, MA 02169-4778 | 2018-07-05 |
| 1598262321 | Esraa M Al-jubory | Behavioral Analyst | 66 Tirrell St Apt 1, Quincy, MA 02171-1661 | 2018-04-09 |
| 1891223400 | Kelle Leigh Schlueter | Behavioral Analyst | 1229 Harrison Plz, Quincy, IL 62305-6106 | 2017-05-25 |
| 1750780755 | Diana S Puerta | Behavioral Analyst | 25 Morton St Apt 210, Quincy, MA 02169 | 2014-08-15 |
| 1457771743 | Jaclyn Farrar | Behavioral Analyst | 76 Macy St, Quincy, MA 02169-3640 | 2014-04-24 |
| 1144509092 | Annie Christian Davis | Behavioral Analyst | 155 Babcock St, Quincy, MA 02169-2941 | 2011-08-10 |
| 1902110448 | Danika Nicole Demarie | Behavioral Analyst | 86 Cranch St, Quincy, MA 02169-1804 | 2010-07-26 |
| 1962927889 | Raven-seymone Johnson | Behavioral Analyst | 460 Quincy Ave, Quincy, MA 02169-8130 | 2017-08-11 |
| 1407386584 | Keyla Joanell Kelley | Behavioral Analyst | 16 Moon Island Rd, Quincy, MA 02171-1034 | 2017-06-12 |
| 1598205759 | Heather Gray | Behavioral Analyst | 500 Victory Rd, Quincy, MA 02171-3139 | 2017-03-07 |
| Find all providers in QUINCY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.